The holder whose full name is WALLACE, MARY ELLEN,come from ANGOLA IN,hold the Registered Nurse license(NO.28030493A) which status is Expired.
| Name | WALLACE, MARY ELLEN |
|---|---|
| License Number | 28030493A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | ANGOLA |
| State | IN |